Excessive hair loss is defined as daily hair loss of more than 100 strands of hair. Dr Wong will need to diagnose accurately the type of hair loss during consultation before he can offer any treatment plan.
Medical problems like infections of the scalp, thyroid disorders, lupus disorder, lichen planus and iron deficiency can cause hair loss too. Some medications are also known to trigger hair loss.
In this disorder, your own immune system, while protecting your body against foreign elements such as viruses and bacteria, mistakenly attacks your own hair follicles and leads to patchy hair loss on the scalp. This can sometimes occur even on eyebrow, beard and other hair bearing areas.
A 7 year old child with alopecia areata
A female adult with severe alopecia areata
Alopecia totalis with loss of brow hair too
Regrowth with white hair
Male and female pattern hair loss is the most common hair loss disorder in adult men and women respectively. They are gradually progressive and follow a recognizable pattern. In the male, there is usually receding hairline with baldness on the top of the scalp. In the female, the hair becomes thin and fine over the crown and with reduction of hair volume.
There are 3 types of hairs on the scalp:
In Telogen Effluvium, there is acute shedding of resting hairs (telogen hair) typically occurring three months after a stressful trigger. Severe physical or mental stress like childbirth, high fever, severe illness, depression or divorce can trigger this type of hair loss. General stress does not cause this type of hair loss. Otherwise, no one in Singapore will have any hair left! Patients typically complain of excess shedding of hairs during washing, on brushes, and even on pillows and clothes.
Involves applying medication to the balding patch to counter the hair loss. In some patients, significant regrowth and increase in hair thickness can happen, but it takes patience, discipline and commitment to see the result only after 1-2 years’ time. Some luckier one may even see improvement in 6 months.
An easier treatment for one to follow. It has better results than topical treatment because their effect is more potent.
Often the first line of treatment for Alopecia Areata. Bio-stimulatory injection is also beginning to gain attention.
A commonly accepted surgical solution to hair loss. Essentially, it is a reallocation or re-balancing of “your portfolio or asset”. It involves taking one’s own hair from the back of the scalp that is thought to be permanently hair bearing and transplant these hair grafts to the balding area. The procedure does not stop the underlying problem of ongoing hair loss and hence patients still need to be on concurrent topical and oral medication.
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